Non-urgent advice: The ICB Medicines Sub-Committee
The NENC Integrated Care System now has one governance procedure through the ICB Medicines Sub-Committee. This is supported by Northern Treatment Advisory Group (NTAG) and its subgroups. Until guidance can be reviewed by the ICB Medicines Sub-Committee and its sub-groups all guidance and agreements previously approved by the predecessor three Area Prescribing Committees (APCs) of County Durham & Tees Valley; North of Tyne, Gateshead & North Cumbria; and South Tyneside & Sunderland are still valid whilst within their review date. Clinicians referring to this guidance after any expiry date should exercise caution. ICB approved prescribing guidance and agreements will be hosted on the NTAG website moving forward and this is available publicly at https://ntag.nhs.uk/ .
Guidelines
Information on this page is hosted on behalf of the localities that formerly comprised Darlington CCG, Durham Dales, Easington & Sedgefield CCG, North Durham CCG and the former Durham & Darlington Area Prescribing Committee [Dissolved July 2019 – Responsibilities transferred to the County Durham & Tees Valley APC].
Link to resources for practices and pharmacies to support implementation
Formulary
North East and North Cumbria ICS Formulary
Clinical Guidelines
Gastro-intestinal system
Cardiovascular system
- Creatinine Clearance Calculation for DOACs - CD&TV APC Position Statement (834 downloads )
- DVT Investigation Proforma & Patient Information Sheet (1410 downloads )
- DVT Pathway Information (3101 downloads )
- Sacubitril Valsartan - CD&TV APC Prescribing Guidance (2769 downloads )
- Uncomplicated Hypertension Treatment Guidance - County Durham CCG (5296 downloads )
Respiratory system
Please Note: Guidelines in this category have passed the recommended review dates and have EXPIRED. These guidelines will NOT be reviewed or renewed – so have been retained on this page to support practice pending publication of NENC ICS guidance.
- Adult Asthma Inhaler Guide (12486 downloads )
- COPD Treatment - CD&TV APC Guide (32368 downloads )
- Nebulised Colistimethate (Colomycin) for non-CF Bronchiectasis_Green+ Leaflet (1419 downloads )
- Paediatric Asthma Inhaler Guide (5774 downloads )
Central nervous system
Pain
- Lidocaine Topical Patch - CD&TV APC Prescribing Advice (1157 downloads )
- Pain Pathway - County Durham Care Partnership (527 downloads )
- Primary Care Pain Management Guideline - County Durham & Tees Valley CCGs (2414 downloads )
Mental Health
CD&TV APC-approved mental health prescribing resources are available via the PUBLICATIONS section of the Tees, Esk and Wear Valleys NHS Foundation Trust website and can be accessed from the TEWV Medicines Optimisation Interactive Guide:
- ADHD Medicines Supply Disruption 2023 - NENC Prescribing Advice (640 downloads )
- ADHD Medicines Shortages - Information for Patients, Families & Carers [NENC Oct 23] (684 downloads )
Infections and antibiotics
- Influenza Outbreak in Care Homes - GP Information Pack - Darlington (754 downloads )
- Nebulised Colistimethate (Colomycin) for non-CF Bronchiectasis_Green+ Leaflet (1419 downloads )
- Summary of Antimicrobial Prescribing Guidance – managing common infections [RCGP Target Toolkit] (6857 downloads )
Diabetes
Other endocrine
- CD&TV APC - GP Denosumab Prescribing Information Sheet (2053 downloads )
- Hypogonadism Management in Primary Care - CD&TV APC Guidance (1303 downloads )
Kidney disease
Obstetrics, gynaecology and urinary tract
Malignant disease and immunosuppression
Nutrition and blood
- CD&TV guidelines for the supply of gluten-free products (3374 downloads )
- CDDFT Dietetic Service - Adult Referral Criteria and Undernutrition Pathway (515 downloads )
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC Full Guideline (2620 downloads )
- Cows' Milk Protein Allergy [non IgE] - Recognition & Management - CD&TV APC QRG (918 downloads )
- Hypomagnesaemia Management in Adults in Primary Care - CD&TV APC Guideline (1481 downloads )
- Primary Care Management of Vitamin D Deficiency (5092 downloads )
Musculoskeletal and joint diseases
Eye
Ear, nose and throat
Skin
- Specials Recommended by the British Association of Dermatologists for Skin Disease (2956 downloads )
- Wound Management Dressing Formulary (4180 downloads )
Immunological products and vaccines
Drug monitoring
Shared care
Any shared care guidelines (SCGs) listed below which have passed their review date will remain in use until an updated NENC ICB approved version is available, with only technical updates to address any emerging safety issues.
SCGs for medicines used in Mental Health – plus supporting policies and procedures – are also available from the PUBLICATIONS section of the Tees, Esk and Wear Valleys NHS Foundation Trust website and can be accessed from the TEWV Medicines Optimisation Interactive Guide:
- Apomorphine Shared Care Guideline (2210 downloads )
- Aripiprazole LAI – Shared Care Guideline (673 downloads )
- Atomoxetine – Shared Care Guidelines (592 downloads )
- Azathioprine Shared Care Guideline (5068 downloads )
- Ciclosporin Shared Care Guideline (2788 downloads )
- Cinacalcet for Primary Hyperparathyroidism Shared Care Guideline (2068 downloads )
- Dapsone [Dermatology] Shared Care Guideline (943 downloads )
- Dexamfetamine – Shared Care Guidelines (619 downloads )
- First Generation Antipsychotic FGA LAI – Shared Care Guideline (624 downloads )
- Guanfacine – Shared Care Guidelines (618 downloads )
- Hydroxycarbamide (Hydroxyurea) Shared Care Guideline (2143 downloads )
- Leflunomide Shared Care Guideline (3267 downloads )
- Lithium – Shared Care Guidelines (654 downloads )
- Melatonin – Shared Care Guideline (776 downloads )
- Mercaptopurine Shared Care Guideline (2849 downloads )
- Methotrexate SC Injections - Prescribing and Monitoring Arrangements [CDDFT] (500 downloads )
- Methotrexate Shared Care Guideline (10982 downloads )
- Methylphenidate – Shared Care Guidelines (687 downloads )
- Mycophenolate Shared Care Guideline (3251 downloads )
- NENC Shared Care Protocol Riluzole for patients in adult services (4095 downloads )
- Paliperidone LAI – Shared Care Guidelines (574 downloads )
- Safe Transfer of Prescribing - TEWV (594 downloads )
- Safe Transfer of Psychotropic Medication - TEWV (614 downloads )
- Sulfasalazine Shared Care Guideline (4679 downloads )
- Valproate – Shared Care Guidelines (630 downloads )
Specials
- Specials Recommended by the British Association of Dermatologists for Skin Disease (2956 downloads )
Other guidance
- Cannabis based medicinal products for use in humans: information for primary care (989 downloads )
- CD&TV Stoma Accessories Guide (1226 downloads )
- County Durham & Tees Valley Do Not Prescribe/Grey List (4032 downloads )
- Medical cannabis (and cannabis oils) patient information leaflet (1019 downloads )
- NTAG Guidance (2569 downloads )
Prescribing systems and processes
- Model Repeat Prescribing System (4557 downloads )
- Monitored Dosage Systems - County Durham Recommendation Form [New MDS] (882 downloads )
- Monitored Dosage Systems - County Durham Review Form (675 downloads )
- Monitored Dosage Systems - County Durham Supplementary Guidance (644 downloads )
- Monitored Dosage Systems and Seven Day Prescriptions - CD&TV APC Guidance (1205 downloads )
Self-care and over-the-counter medicines
- Conditions for which over the counter items should not routinely be prescribed (1260 downloads )
- Conditions for which over the counter items should not routinely be prescribed in primary care: exception criteria (1538 downloads )
- Prescribing of medicines available to purchase over the counter for self-care (1517 downloads )
- Self-Care OTC Guidance (949 downloads )